Individual provider Active NPI

Kellie D. Curtis, MD

  • Diagnostic Radiology Physician
  • Northridge, CA
National Provider Identifier
1104985845
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A96199 Issued in CA
Practice address
18436 Roscoe Blvd
Northridge, CA 91325-4107
Phone
(818) 435-1400
Fax
(818) 435-1492
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A96199 CA
Diagnostic Radiology Physician 2085R0202X A96199 CA Primary

Addresses

Primary practice location

18436 Roscoe Blvd
Northridge, CA 91325-4107

Mailing address

4100 Guardian St Ste 205
Simi Valley, CA 93063-6721
Phone (855) 504-4544

Other practice location 1

4760 W Sunset Blvd
Los Angeles, CA 90027-6063
Phone (323) 783-4011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090416000591 CA Practitioner - Diagnostic RadiologyPractitioner - General Surgery 2163579723 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
R Franklin University of Med & Sci/Chicago Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Renaissance Imaging Medical Associates IncGroup PAC ID 7315841756, 126 clinicians

Practice addresses (Care Compare)

2110 Cross St
La Canada, CA 91011-1520
Phone (818) 639-2901

44105 15TH W St
Suite 100
Lancaster, CA 93534-4088
Phone (818) 435-1433

Hospital & facility affiliations

  • Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235
  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333
  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
96199CAMDSocial Worker
A96199CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Jan 1, 2012 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Jul 27, 2025 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Aug 29, 2023 Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Apr 1, 2025 Accepting new patients
Antelope Valley Outpatient Imaging Center, LLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Southern Inyo Healthcare District CurrentSince Mar 31, 2015 Accepting new patients
Southern Inyo Healthcare District CurrentSince Mar 31, 2015 Accepting new patients
Rad Alliance, Inc. Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients

Locations (25 of 40)

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

47111 Monroe St
#1112
Indio, CA 92201

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

1245 Wilshire Blvd
Ste 205
Los Angeles, CA 90017
Phone (213) 202-7067

500 S Virgil Ave
Ste 102
Los Angeles, CA 90020
Phone (323) 375-3950

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

301 Science Dr
Ste 150
Moorpark, CA 93021
Phone (805) 855-7000

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

18436 Roscoe Blvd
Northridge, CA 91325
Phone (805) 577-2012

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

38925 Trade Center Dr
Unit E
Palmdale, CA 93551
Phone (661) 726-6050

5860 Owens Dr
Ste 150
Pleasanton, CA 94588
Phone (925) 467-1400

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1104985845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 GUARDIAN ST STE 205",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930636721",
            "telephone_number": "855-504-4544",
            "fax_number": "805-577-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18436 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254107",
            "telephone_number": "818-435-1400",
            "fax_number": "818-435-1492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4760 W Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900276063",
            "country_code": "US",
            "telephone_number": "323-783-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "KELLIE",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A96199",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A96199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.